Active NPI
Laura E Kilcline, MS, RD, LDN
- Registered Dietitian
- Providence, RI
National Provider Identifier
1316411341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 145 Elmgrove Ave
Providence, RI 02906-4230 - Phone
- (401) 575-1885
- NPI assigned
- Jan 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | RI | Primary |
Addresses
Primary practice location
145 Elmgrove Ave
Providence, RI 02906-4230
Mailing address
145 Elmgrove Ave
Providence, RI 02906-4230
Phone (401) 575-1885
Other practice location 1
214 Tiffany Ave
Warwick, RI 02889-5819
Phone (401) 575-1885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pivot Nutrition, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
145 Elmgrove Ave
Providence, RI 02906
Phone (401) 450-2903
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1316411341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 ELMGROVE AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029064230",
"telephone_number": "401-575-1885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 ELMGROVE AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029064230",
"telephone_number": "401-575-1885"
}
],
"practiceLocations": [
{
"address_1": "214 Tiffany Ave",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028895819",
"country_code": "US",
"telephone_number": "401-575-1885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILCLINE",
"first_name": "LAURA",
"middle_name": "E",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-12",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "RI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.